Individual
STACY TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1667 SHERIDAN RD, NOBLESVILLE, IN 46062-8723
(317) 770-3400
Mailing address
11313 USA PKWY STE E145, FISHERS, IN 46037-9208
(317) 781-4500
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
28214801A
IN
Other
Enumeration date
02/08/2024
Last updated
10/29/2025
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